Advantages of Single Incision Laparoscopic Surgery. medical Breakthroughs via Minimally Invasive surgery

1. Single Incision Laparoscopic Surgery (SILS)
By
Dr. Ashish Shah
Consultant
General/Gastroenterology/Laparoscopic
Surgery, Wockhardt Hospitals

2. Anatomy of the Digestive System

3. Gall Bladder Diseases

4. Symptoms of Gall Stones
• Abdominal pain – after food
• Back Pain
• Chest pain
• Nausea/Vomiting
• Jaundice

5. Symptoms of appendicitis
• Abdominal pain – periumbilical/right lower
abdominal pain
• Nausea/Vomiting
• Fever

6. Laparoscopic Surgery

7. Conventional Laparoscopic
Cholecystectomy/Appendicectomy
4 Ports (keyhole) for Cholecystectomy & 3 for
Appendicectomy

8. SILS- A Perspective
• Global:
• Gained popularity in the last 1-2 yrs
• Currently offered at major laparoscopy
centres
• India:
• Introduced about 1yr ago in Mumbai
• Very few centres offering SILS due to lack of
expertise and equipment

9. SILS – Single Incision
Laparoscopic Surgery
Laparoscopic surgery through one 20mm incision
(cut) at the umbilicus

10. SILS – The Procedure

11. SILS –The Wockhardt
Experience
• 4 months (4/05/09 till date)
• 10 patients – 9 Female pts, 1 Male pt
• 7 Cholecystectomies – 6 Female, 1 Male
• 4 Appendicectomies – 4 Female
• Youngest – 21 yrs (Appendicectomy)
• Oldest – 62 yrs (Cholecystectomy)

12. SILS – Wockhardt Experience
• Recovery: In hospital-Ambulation 3 hrs post operation
• Stay: Overnight stay
• Analgesia (Pain medication): Decreased requirement-
compared to conventional Laparoscopic
• Earlier return to routine activity

13. SILS v/s Conventional
Laparoscopy
• Cosmetically superior
• Lesser pain and decreased need for analgesics
• Earlier recovery
• Earlier return to activity
• Applicable to many common surgical conditions – GB stones,
Appendicitis, Hernia, to name a few

14. Who can perform SILS?
• Experienced Laparoscopic Surgeons who routinely perform
advanced Laparoscopic surgeries
• For whom:
All patients who would need Laparoscopic surgery especially
for uncomplicated Gallstones, Appendicitis or Hernia

15. Way forward…
• SILS-The next big step forward in Laparoscopic
Surgery
• Offers cosmetic benefit and quicker recovery than
conventional Laparoscopy
• Applicable to patients requiring Laparoscopic
procedures for uncomplicated conditions
• SILS offered routinely to suitable patients at
Wockhardt Hospital, Cunningham Road

16. Thank You